Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
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Catastrophic Health Expenditure and Trend of South Korea in 2016

2016 재난적 의료비 경험률과 추이

  • Choi, Dong-Woo (Department of Public Health, Yonsei University Graduate School) ;
  • Kim, Woorim (Department of Public Health, Yonsei University Graduate School) ;
  • Park, Eun-Cheol (Institute of Health Services Research, Yonsei University)
  • 최동우 (연세대학교 대학원 보건학과) ;
  • 김우림 (연세대학교 대학원 보건학과) ;
  • 박은철 (연세대학교 보건정책 및 관리연구소)
  • Received : 2018.03.05
  • Accepted : 2018.03.15
  • Published : 2018.03.31
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Abstract

Catastrophic health expenditure refers to when a household spends more than 40 percent of disposable income for out-of-pocket-expenses for healthcare. This study investigates the percentage of South Korean household which experienced the catastrophic health expenditure between 2006 and 2016 with the National Survey of Tax and Benefit and the Household Income and Expenditure Survey data. Percentage of households with the catastrophic health expenditure and tread tests were conducted with weight variable. The results of the National Survey of Tax and Benefit and the Household Income and Expenditure Survey showed 2.17% and 2.92% of households experienced the catastrophic health expenditure in 2016. In trend analysis, the National Survey of Tax and Benefit showed a statistically significant decreasing trend in the proportion of households with the catastrophic health expenditure (annual percentage change [APC]=-4.03, p<0.0001). However, the Household Income and Expenditure Survey revealed a statistically significant increasing trend (APC=1.43, p<0.0001). In conclusion, this study suggests that optimal healthcare alternatives are needed for the catastrophic health expenditure and monitoring low-income households.

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References

  1. Xu K, Evans DB, Kawabata K, Zeramdini R, Klavus J, Murray CJ. Household catastrophic health expenditure: a multicountry analysis. Lancet 2003;362(9378):111-117. DOI: https://doi.org/10.1016/S0140-6736(03)13861-5.
  2. Xu K. Distribution of health payments and catastrophic expenditures methodology. Geneva: World Health Organization; 2005.
  3. Bae G, Moon JH, Kang M. An exploratory study on the factors of precarious health in South Korea. Health Soc Welf Rev 2017;37(4):146-178. DOI: https://doi.org/10.15709/hswr.2017.37.4.146.
  4. Korea Institute of Public Finance. National Survey of Tax and Benefit (NaSTaB) user's guide. Sejong: Korea Institute of Public Finance; 2017.
  5. Kim W, Park EC. Catastrophic health expenditure status and trend of Korea in 2015. Health Policy Manag 2017;27(1):84-87. DOI: https://doi.org/10.4332/KJHPA.2017.27.1.84.
  6. Wagstaff A, Flores G, Smitz MF, Hsu J, Chepynoga K, Eozenou P. Progress on impoverishing health spending in 122 countries: a retrospective observational study. Lancet Glob Health 2018;6(2):e180-e192. DOI: https://doi.org/10.1016/S2214-109X(17)30486-2.
  7. Kim HR, Yeo JY. A comparison of Korean health status and health care system performance with OECD countries. Health Welf Policy Forum 2013;(196):89-102.
  8. Organization for Economic Cooperation and Development. Health at a glance 2017. Paris: OECD Publishing; 2017.
  9. Park J. Poverty and health insurance law. Soc Secur Law 2013;2(1):71-101.
  10. Kang H. Issues and policy options for Moon Jae-in care. Health Welf Policy Forum 2018;(255):23-37.